How do you answer these????

[Scooby Doo]

I am looking at a few ethics interview questions and other questions...
I am really interested in finding out how others would answer these questions.
Let me know.
Thanks...

1) If you had a patient who needed an MRI to determine if they had a brain tumor, but there HMO denied to pay for the procedure what would you do?

2) What are the advantages and disadvantages of placing elderly parents on their adult children's health insurance?

3) A woman with breast cancer was requesting an extremely pricey bone marrow transplant that had only a 5% chance of helping her. If you were the judge deciding this case, what would your thought process be and what would you decide?

4) What do you think about having a National Health Care System?

Any ideas?

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[C U in MD school]

hey ScoobyDoo, these are great questions...
my answers are yes and no right now.

may I ask where u got them from?

 

[BlackPuma]

hmmm lemmi give them a try....

1) I would write a letter to my supervisor, as well as the HMO stating that they better reconsider the decision. With all my years of expertise, I think the patient actually might have a tumor so an MRI is vital. If you prevent this patient from getting an MRI, don't think a litigation from the family once she is dead is any cheaper

2) advantages: your health bills will get paid, and you will probably get better service

disadvantages: cause family strains, and pressures, you could end up taking money away from your own kid

3) a 5% chance is less than promising. If everyone wanted to give the "latest procedure" a try, and not have the financial backings, then it woulnd't work. If there was a higher percentage of recovery, then Iwould reconsider, but a 5% surgery might actually end up doing more harm than good,

4) National healthcare? I dont know about you, but I DONT WANT to be on a waitlist for 13 weeks like in Canada or UK, when with my money I can seek better system.....this is a capitalistic country, you want socialism, pack ur bags buddy

hope that helps

 

[GS]

Those are excellent answers!

Thanks!

 

[Drako]

I could answer question no. 1 base on my own personal experience. My insurance (Medical) refused to pay for an MRI that was ordered by my orthopedic surgeon in 1995. When I told him that coverage was denied, he told me and I quote, "That's a pity! Without that MRI, I can't do anything for you." and sent me home. He didn't even bother exploring any other alternative. I guess that is one answer you could give the interviewer. I swear that if I ever become such a doctor, I would shoot myself in the head.

 

[applicant2002]

What about the question about the 1 kidney and the 7 people waiting for it-housewife w/ 2 kids, carpenter, etc, etc?
How would you answer that one.

 

[StitchEM]

I can offer some insight to no 3 from personal exp. My mom's friend had BC and underwent the bone marrow transplant after both she and ther MD fought it out with her HMO (she had good coverage and some exp. procedures were actually covered). It lasted 1 year before the cancer came back, she's now back on chemo. But in that year she saw her son graduate college and enter med school. This is all after losing both her husbands to colon cancer. The real question is what price was that one year worth to her? In comparison a heart transplant only offers 5 more years on average.